MEDICARE: NICHOLAS SOSEBEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1255705638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS SOSEBEE

Provider Business Mailing Address
First Line	:	2051 MARILYN DR
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7642
Country	:	US
Telephone Number	:	408-234-9568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2051 MARILYN DR
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95928-7642
Country	:	US
Telephone Number	:	408-234-9568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2015
Last Update Date	:	03/17/2026

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Directions to “ NICHOLAS SOSEBEE ” Practice Location

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